Organization Active NPI

Pediatric Therapy Services LLC

  • Pediatric Physical Therapist
  • Greenville, SC
National Provider Identifier
1013194737
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
PEDIATRIC THERAPY SERVICES LLC
Practice address
10 Edgewood Dr
Greenville, SC 29605-4236
Phone
(864) 991-5460
Fax
(864) 335-1162
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Todd O'Hare, MS, PT
Title
Owner
Phone
(864) 991-5460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

10 Edgewood Dr
Greenville, SC 29605-4236

Mailing address

10 Edgewood Dr
Greenville, SC 29605-4236
Phone (864) 991-5460

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1013194737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EDGEWOOD DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054236",
            "telephone_number": "864-991-5460",
            "fax_number": "864-335-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EDGEWOOD DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054236",
            "telephone_number": "864-991-5460",
            "fax_number": "864-335-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "O'HARE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-991-5460",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.